THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 7, 2012 

The Honorable Joseph R. Biden, Jr.

President of the United States Senate

Washington, D.C. 20510 

Dear Mr. President:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 and 

42 C.F.R. pt. 83, a petition was filed on behalf of workers who were employed at Nuclear Metals, 

Inc. (or a subsequent owner) in West Concord, Massachusetts, to be added to the Special 

Exposure Cohort (SEC). 

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on September 20, 2012. The Board considered 

the petition, and on November 7, 2012, I received the Board’s recommendation concerning this 

petition. I have also received the deliberations, findings, and recommendations of the Director of 

NIOSH and the Director of CDC. Based on this information, I have designated the following 

class for addition to the SEC: 

All Atomic Weapons Employees who worked at the facility owned by Nuclear Metals, 

Inc. (or a subsequent owner) in West Concord, Massachusetts, during the period from 

October 29, 1958, through December 31, 1979, for a number of work days aggregating at 

least 250 work days, occurring either solely under this employment, or in combination 

with work days within the parameters established for one or more other classes of 

employees included in the Special Exposure Cohort. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on File] 

Kathleen Sebelius

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 7, 2012 

The Honorable Harry Reid 

Majority Leader 

United States Senate

Washington, D.C. 20510 

Dear Senator Reid:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 and 

42 C.F.R. pt. 83, a petition was filed on behalf of workers who were employed at Nuclear Metals, 

Inc. (or a subsequent owner) in West Concord, Massachusetts, to be added to the Special 

Exposure Cohort (SEC). 

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on September 20, 2012. The Board considered 

the petition, and on November 7, 2012, I received the Board’s recommendation concerning this 

petition. I have also received the deliberations, findings, and recommendations of the Director of 

NIOSH and the Director of CDC. Based on this information, I have designated the following 

class for addition to the SEC: 

All Atomic Weapons Employees who worked at the facility owned by Nuclear Metals, 

Inc. (or a subsequent owner) in West Concord, Massachusetts, during the period from 

October 29, 1958, through December 31, 1979, for a number of work days aggregating at 

least 250 work days, occurring either solely under this employment, or in combination 

with work days within the parameters established for one or more other classes of 

employees included in the Special Exposure Cohort. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on File] 

Kathleen Sebelius

Enclosure
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 7, 2012 

The Honorable Mitch McConnell 

Minority Leader

United States Senate

Washington, D.C. 20510 

Dear Senator McConnell:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 and 

42 C.F.R. pt. 83, a petition was filed on behalf of workers who were employed at Nuclear Metals, 

Inc. (or a subsequent owner) in West Concord, Massachusetts, to be added to the Special 

Exposure Cohort (SEC). 

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on September 20, 2012. The Board considered 

the petition, and on November 7, 2012, I received the Board’s recommendation concerning this 

petition. I have also received the deliberations, findings, and recommendations of the Director of 

NIOSH and the Director of CDC. Based on this information, I have designated the following 

class for addition to the SEC: 

All Atomic Weapons Employees who worked at the facility owned by Nuclear Metals, 

Inc. (or a subsequent owner) in West Concord, Massachusetts, during the period from 

October 29, 1958, through December 31, 1979, for a number of work days aggregating at 

least 250 work days, occurring either solely under this employment, or in combination 

with work days within the parameters established for one or more other classes of 

employees included in the Special Exposure Cohort. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on File] 

Kathleen Sebelius

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 7, 2012 

The Honorable Nancy Pelosi 

Minority Leader

House of Representatives

Washington, D.C. 20515 

Dear Representative Pelosi:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 and 

42 C.F.R. pt. 83, a petition was filed on behalf of workers who were employed at Nuclear Metals, 

Inc. (or a subsequent owner) in West Concord, Massachusetts, to be added to the Special 

Exposure Cohort (SEC). 

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on September 20, 2012. The Board considered 

the petition, and on November 7, 2012, I received the Board’s recommendation concerning this 

petition. I have also received the deliberations, findings, and recommendations of the Director of 

NIOSH and the Director of CDC. Based on this information, I have designated the following 

class for addition to the SEC: 

All Atomic Weapons Employees who worked at the facility owned by Nuclear Metals, 

Inc. (or a subsequent owner) in West Concord, Massachusetts, during the period from 

October 29, 1958, through December 31, 1979, for a number of work days aggregating at 

least 250 work days, occurring either solely under this employment, or in combination 

with work days within the parameters established for one or more other classes of 

employees included in the Special Exposure Cohort. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on File] 

Kathleen Sebelius

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 7, 2012 

The Honorable John A. Boehner 

Speaker of the House of Representatives

Washington, D.C. 20515 

Dear Mr. Speaker:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 and 

42 C.F.R. pt. 83, a petition was filed on behalf of workers who were employed at Nuclear Metals, 

Inc. (or a subsequent owner) in West Concord, Massachusetts, to be added to the Special 

Exposure Cohort (SEC). 

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on September 20, 2012. The Board considered 

the petition, and on November 7, 2012, I received the Board’s recommendation concerning this 

petition. I have also received the deliberations, findings, and recommendations of the Director of 

NIOSH and the Director of CDC. Based on this information, I have designated the following 

class for addition to the SEC: 

All Atomic Weapons Employees who worked at the facility owned by Nuclear Metals, 

Inc. (or a subsequent owner) in West Concord, Massachusetts, during the period from 

October 29, 1958, through December 31, 1979, for a number of work days aggregating at 

least 250 work days, occurring either solely under this employment, or in combination 

with work days within the parameters established for one or more other classes of 

employees included in the Special Exposure Cohort. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on File] 

Kathleen Sebelius

Enclosure 
HHS Special Exposure Cohort Designation:

Nuclear Metals Inc., West Concord. Massachusetts

 

HHS Designation of Additional Members of the 

Special Exposure Cohort 

under the 

Energy Employees Occupational Illness Compensation Program Act 

of 2000 

Designating a Class of Employees 

Nuclear Metals Inc.

(or a subsequent owner)

West Concord, Massachusetts
HHS Special Exposure Cohort Designation:

Nuclear Metals Inc., West Concord. Massachusetts

Page 2

I. Designation 

I, Kathleen Sebelius, Secretary of Health and Human Services (Secretary), 

designate the class of employees defined in Section II of this report for addition to 

the Special Exposure Cohort (SEC), as authorized under the Energy Employees 

Occupational Illness Compensation Program Act of 2000 (EEOICPA), 42 U.S.C. § 

7384q.

December 7, 2012 [Signature on File]

Date Kathleen Sebelius

II. Employee Class Definition

All Atomic Weapons Employees who worked at the facility owned by Nuclear 

Metals, Inc. (or a subsequent owner) in West Concord, Massachusetts, 

during the period from October 29, 1958, through December 31, 1979, for a 

number of work days aggregating at least 250 work days, occurring either

solely under this employment, or in combination with work days within the 

parameters established for one or more other classes of employees included 

in the Special Exposure Cohort.

III. Designation Criteria and Recommendations

Pursuant to 42 U.S.C. § 7384q, for the class defined in Section II of this report, the 

Secretary has determined, and the Advisory Board on Radiation and Worker Health 

(Board) has recommended, that

(1) It is not feasible to estimate with sufficient accuracy the radiation dose that 

the class received; and

(2) There is a reasonable likelihood that such radiation dose may have 

endangered the health of members of the class.

The SEC final rule states in 42 C.F.R. § 83.13(c)(1) that it is feasible in two situations 

to estimate the radiation dose that the class received with sufficient accuracy. First, 

the rule states that radiation doses may be estimated with sufficient accuracy if 

NIOSH has established that it has access to sufficient information to estimate the 

maximum radiation dose, for every type of cancer for which radiation doses are 

reconstructed, that could have been incurred under plausible circumstances by any 

member of the class. Alternatively, radiation doses may be estimated with sufficient 

accuracy if NIOSH has established that it has access to sufficient information to 

estimate the radiation doses of members of the class more precisely than a 

maximum dose estimate.

The Board, pursuant to 42 U.S.C. § 7384q, advised the Secretary to designate the 

class as an addition to the SEC in a letter received by the Secretary on November 7, 

2012.
HHS Special Exposure Cohort Designation:

Nuclear Metals Inc., West Concord. Massachusetts

Page 3

IV. Designation Findings

Feasibility of Estimating Radiation Doses with Sufficient Accuracy

The Secretary established the feasibility determination for the class of employees 

covered by this report based upon the findings summarized below.

• NIOSH determined that principal sources of internal radiation for members of the 

Nuclear Metals Inc. proposed class included exposures to natural, depleted, and 

enriched uranium, thorium oxides and metals existing either separately or as 

alloys, and uranium and thorium progeny. The primary modes of exposure were 

likely inhalation and ingestion, with entry through wounds also being possible 

during the processing of these metals.

• Internal exposure monitoring data available to NIOSH include: urine bioassay 

results for most years in the evaluation period except 1968, 1972, and 1975 (with 

the number of urinalysis results increasing dramatically from 1978 through 1983); 

approximately 500 lung counting results beginning in 1982; summary air data for 

the pre-1975 period giving only maximum, minimum, and average air 

concentrations; and 28,000 breathing zone and work area air sample results 

during the period 1980, through 1983. 

• Based on NIOSH’s evaluation of available data, NIOSH concluded that it is not 

feasible to reconstruction doses for internal exposure because: (1) the early 

bioassay program (pre-1980) results are often sparse and NIOSH cannot verify 

that available data represents the worse-case exposures; (2) early air sample 

data are limited and not equivalent to breathing zone sampling; (3) NIOSH did 

not locate any urine bioassay or air sample data for thorium operations; and (4) 

NIOSH did not locate thoron monitoring data or indications of a thoron monitoring 

program for the thorium sources. 

• Therefore, NIOSH concludes that it is not feasible for NIOSH to reconstruct with 

sufficient accuracy the internal exposures to enriched uranium, thorium, uranium 

progeny, and thorium progeny, for Nuclear Metals, Inc. workers during the period 

from October 29, 1958, through December 31, 1979. NIOSH found that it may be 

feasible to reconstruct internal doses from natural and depleted uranium for 

employees during the recommended SEC period from October 29, 1958, through 

December 31, 1979, using available claimant and site monitoring data, and 

information in established procedures.

• NIOSH determined that the principal source of external radiation doses for 

members of the proposed Nuclear Metals Inc. class included exposures to 

gamma and beta radiation associated with handling and working in proximity to 

natural, depleted, and enriched uranium and thorium oxides and metals existing 

either separately or as alloys. NIOSH determined that external dose monitoring 

data available to NIOSH consist of film badge and thermoluminescent dosimeter 

results covering the entire operational period under evaluation. Based on its 

evaluation of the available external dose monitoring data, NIOSH concluded that 
HHS Special Exposure Cohort Designation:

Nuclear Metals Inc., West Concord. Massachusetts

Page 4

reconstruction of external doses is likely feasible for the period from October 29, 

1958, through December 31, 1983.

• Based on its evaluation of the available external dose monitoring data, NIOSH 

concluded that reconstruction of external doses is likely feasible for the period 

from October 29, 1958, through December 31, 1983. NIOSH has also 

determined that adequate reconstruction of medical dose is feasible by using 

claimant-favorable assumptions and the technical information bulletin Dose 

Reconstruction from Occupational Medical X-Ray Procedures (ORAUT-OTIB0006). Therefore, NIOSH concluded that reconstruction of external doses, 

including occupational medical doses, is likely feasible for the period from 

October 29, 1958, through December 31, 1983.

• NIOSH documented that it cannot complete the dose reconstructions for the 

employees who worked at the Nuclear Metals Inc., during the time period from 

October 29, 1958, through December 31, 1979. The basis of this finding 

demonstrates that NIOSH does not have access to sufficient information to 

estimate either the maximum radiation dose incurred by any member of the class 

or to estimate such radiation doses more precisely than a maximum dose 

estimate for that period.

• Although NIOSH found that it is not possible to completely reconstruct radiation 

doses for the proposed class, NIOSH intends to use any internal and external 

monitoring data that may become available for an individual claim (and that can 

be interpreted using existing NIOSH dose reconstruction processes or 

procedures). Therefore, dose reconstructions for individuals employed at 

Nuclear Metals Inc., in West Concord, Massachusetts, during the period from 

October 29, 1958, through December 31, 1979, but who do not qualify for 

inclusion in the SEC, may be performed using these data as appropriate. 

• Pursuant to 42 C.F.R. § 83.13(c)(1), NIOSH determined that there is insufficient 

information to either: (1) estimate the maximum radiation dose, for every type of 

cancer for which radiation doses are reconstructed, that could have been 

incurred under plausible circumstances by any member of the class; or (2) 

estimate the radiation doses of members of the class more precisely than a 

maximum dose estimate.

• The Board concurred with the NIOSH evaluation and recommended the 

proposed class for addition to the SEC.

 Health Endangerment

The Secretary established the health endangerment determination for the class of 

employees covered by this report based upon the findings summarized below.

(1) Pursuant to 42 C.F.R. § 83.13(c)(3), NIOSH established that there is a 

reasonable likelihood that such radiation doses may have endangered the 

health of members of the class. Pursuant to 42 C.F.R. § 83.13(c)(3)(ii), 

NIOSH specified a minimum duration of employment to satisfy this health 

endangerment criterion as “having been employed for a number of work days 
HHS Special Exposure Cohort Designation:

Nuclear Metals Inc., West Concord. Massachusetts

Page 5

aggregating at least 250 work days within the parameters established for this 

class or in combination with work days within the parameters (excluding 

aggregate work day requirements) established for one or more other classes 

of employees in the Cohort.”

(2) NIOSH did not identify any evidence from the petitioners or from other 

resources that would establish that the class was exposed to radiation during 

a discrete incident likely to have involved exceptionally high-level exposures, 

such as a nuclear criticality incident, as defined under 42 C.F.R. § 

83.13(c)(3)(i). 

(3) The Board concurred with NIOSH’s finding that the health of the class may 

have been endangered and defined the class according to the 250-work day 

requirement specified under 42 C.F.R. § 83.13(c)(3)(ii). 

V. Effect and Effective Date of Designation

The Secretary submits this report on the designation of one additional class to the 

SEC for review by Congress, pursuant to 42 U.S.C. §§ 7384l(14)(C)(ii) and 

7384q(c)(2)(A), as amended by the Ronald W. Reagan National Defense 

Authorization Act for Fiscal Year 2005, Pub. L. No. 108-375 (codified as amended in 

scattered sections of 42 U.S.C.). Pursuant to 42 U.S.C. § 7384l(14)(C)(ii), as 

amended by the Ronald W. Reagan National Defense Authorization Act for Fiscal 

Year 2005, Pub. L. No. 108-375 (codified as amended in scattered sections of 42 

U.S.C.), the designation in this report will become effective 30 days after the date of 

this report’s submission to Congress “unless Congress otherwise provides.”

VI. Administrative Review of Designation

The health endangerment determination of the designation provided in this report 

may be subject to an administrative review within HHS, pursuant to 42 C.F.R. § 

83.18(a). On the basis of such a review, if the Secretary decides to expand the class 

of employees covered by this designation, the Secretary would transmit a 

supplementary report to Congress providing the expanded employee class definition 

and the criteria and findings on which the decision was based.